Active NPI
Support Success Home Care
- In Home Supportive Care Agency
- McCordsville, IN
National Provider Identifier
1881530624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SUPPORT SUCCESS HOME CARE
- Practice address
- 6223 N Woodside CT
McCordsville, IN 46055-8025 - Phone
- (317) 457-1523
- NPI assigned
- Apr 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jermaine Williams
- Title
- Owner
- Phone
- (317) 397-3117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
6223 N Woodside CT
McCordsville, IN 46055-8025
Mailing address
6223 N Woodside CT
McCordsville, IN 46055-8025
Phone (317) 457-1523
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777334400000",
"number": "1881530624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6223 N WOODSIDE CT",
"city": "MCCORDSVILLE",
"state": "IN",
"postal_code": "460558025",
"telephone_number": "317-457-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6223 N WOODSIDE CT",
"city": "MCCORDSVILLE",
"state": "IN",
"postal_code": "460558025",
"telephone_number": "317-457-1523"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORT SUCCESS HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JERMAINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-397-3117",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McCordsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.